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General NPI Number Information
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NPI Number | 1104696350
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Entity Type | Organization
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Legal Business Name | ANG COUNSELING AND CONSULTING, PLLC
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 200 VALENCIA DR STE 123
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6311
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Country | US
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Telephone | 910-358-6621
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Fax | 910-239-8126
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Provider Business Mailing Address
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Address Line | 204 BELVEDERE DR
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City | HOLLY RIDGE
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State | NC
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Zip | 28445-6954
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Country | US
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Telephone | 910-358-6621
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Fax | 910-239-8126
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ANGELIA FAYE JONES
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Credential | LCMHCS
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Telephone | 910-358-6621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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